Teaching Rounds

Grand Rounds-style Teaching Capstones by our amazing graduating PGY-3s during their Teaching Elective

Let’s PARDS Out The Details: Pediatric Acute Respiratory Distress Syndrome

Teaching Rounds / April 27, 2021

by Carly Schmidt, MD (’21)
reviewed by Sarah Welsh, MD
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Pediatric Acute Respiratory Distress Syndrome is a disease process of severe hypoxemia with oxygenation and (often) ventilation failure, with lung inflammation and poor lung compliance (see Pathophysiology below). It is similar to the adult counterpart (ARDS) but carries slightly different definitions. PARDS is an important cause of morbidity and mortality in the pediatric ICU, and awareness of degree of hypoxia is key, especially in patients who have not yet developed ventilatory failure.

IN TOO DEEP: Diving into Pediatric Drowning

Teaching Rounds / November 3, 2020

by Alli Georgadarellis, MD (’21)
reviewed by Meghan Beucher, MD
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While summertime usually brings decreased patient volume in our hospital, it is often accompanied by increased traumas and injuries. Fatal and nonfatal drownings are unfortunate but common causes of pediatric injury and death. In fact, unintentional drowning is the leading cause of death in the 1-4 year old age group in the United States

DEEP BREATHS: Asthma and Controller Medications

Teaching Rounds / November 3, 2020

by Melissa Rodriguez, MD (’21)
reviewed by Alison Heinly, MD
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Proper identification of asthma severity along with optimization of treatment in the outpatient setting becomes paramount to help maintain a healthy lung function, preserve children’s abilities to carry out their daily activities, and decrease ED visits and hospitalizations.

BIG HEARTS, LITTLE BODIES: Pediatric Congestive Heart Failure

Teaching Rounds / September 14, 2020

by Vanessa Ogueri, MD
Reviewed by Kristin Lombardi, MD
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“When we hear CHF or congestive heart failure, most times our minds tend to drift towards our adult colleagues who help manage the acute and chronic manifestations of heart failure. As pediatricians, luckily, this is a phenomenon we do not often encounter. While infrequent, it is a diagnosis that should be quickly recognized and treated.”

ASKING THE TOUGH QUESTIONS: Domestic Minor Sex Trafficking

Teaching Rounds / November 3, 2020

by MaryAlice Brislin, MD (’21)
Reviewed by Christine Barron, MD
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“These risk factors all center around sensitive aspects of a patient’s history, and require both a high level of suspicion as well as strong provider/patient rapport. Taking the time to perform an adolescent interview during any medical encounter with these patients can help reveal these risk factors that should then promote further investigation. “